Most Relevant Information
Provider Data
NPI Number: | 1003292855 |
Provider Name: | NEENA LEE KOVALCHIK NP |
Entity Type: | Individual |
Taxonomy Code: | 363LA2200X |
Specialty: | Nurse Practitioner |
License Number: | 4704239926 |
Most Important Dates
Enumeration Date: | 08/04/2015 |
Last Updated: | 08/04/2015 |
Provider Practice Location
1200 EAST MICHIGAN AVENUE
LANSING
MI
48912
Practice Location Phone/Fax
Phone: | 5173645137 |
Fax: | 5173645997 |
Provider Mailing Location
6531 W. GRAND LEDGE HWY.
SUNFIELD
MI
48890
Provider Mailing Phone/Fax
Phone: | 5172144980 |
Fax: |